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How aggressive would you be in irradiating asymptomatic bone metastases in a patient with metastatic prostate cancer?  

Notably, the patient presented with renal failure due to ureteral obstruction and hydronephrosis, receives hemodialysis, and has limited systemic options due to renal failure and performance status.



Answer from: Radiation Oncologist at Community Practice

Answer from: Radiation Oncologist at Academic Institution
Comments
Radiation Oncologist at Berkshire Medical Center
RT to prevent a path fracture is definitely approp...
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Answer from: Medical Oncologist at Academic Institution
Comments
Radiation Oncologist at Lafayette Radiation Center
Disagree. RCT is showing decreased path fx.
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Answer from: Radiation Oncologist at Community Practice